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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHILDREN AND TEEN DENTAL GROUP
NPI 1255139432
Dentist - General Practice in Cornelia, GA

Active since March 04, 2025
679 BALDWIN RD, CORNELIA, GA 30531(706) 744-1832 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, May 20, 2026, May 6, 2025 and 1 more (4 updates tracked since 2025).

About Children And Teen Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDREN AND TEEN DENTAL GROUP (NPI 1255139432), doing business as Elite Dentistry Of Georgia, is a healthcare organization registered as a general practice in Cornelia, Georgia and active in the NPI registry since March 2025. The organization lists Brian Smith, President, as its authorized official.

NPPES Registry Identity

NPI1255139432
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHILDREN AND TEEN DENTAL GROUP
Location Address679 BALDWIN RDCornelia, GA 30531-5768
Mailing Address2300 Lakeview Pkwy Ste 250Alpharetta, GA 30009-3954 · (470) 750-4866
Phone(706) 744-1832
Organization SubpartYes
Authorized OfficialBrian SmithPresident · (470) 750-4866
Enumeration DateMarch 4, 2025
Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1255139432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
679 BALDWIN RD, Cornelia, GA 30531
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Other Names 1

Doing Business AsElite Dentistry Of Georgia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RASHMIKA REDDY NALLABOLU
Dentist (General Practice)
679 BALDWIN RD
CORNELIA, GA 30531
Habersham County (706) 953-3669
GEORGIA DENTAL GROUP OF GA LLC
Dentist (General Practice)
679 BALDWIN RD
CORNELIA, GA 30531
Habersham County (706) 778-7147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Children And Teen Dental Group's NPI number?

The NPI number for Children And Teen Dental Group is 1255139432. It was assigned to this organization in the NPPES registry on March 4, 2025. The provider is doing business as Elite Dentistry of Georgia.

Where is Children And Teen Dental Group located?

Children And Teen Dental Group is located at 679 Baldwin Rd, Cornelia, GA 30531. The listed phone number is (706) 744-1832.

What is Children And Teen Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Children And Teen Dental Group was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.